AEDAN MCDONOUGH MD
NPI 1285162362
Student in an Organized Health Care Education/Training Program in Albany, GA
NPI Status: Active since June 01, 2017
- Individual
- Male
- Years of Experience 9
- Student in an Organized Health Care Educ...
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About AEDAN MCDONOUGH
This page provides the complete NPI Profile along with additional information for Aedan Mcdonough, a primary care provider established in Albany, Georgia with a medical specialization in Student In An Organized Health Care Education/training Program and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1285162362 assigned on June 2017. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1285162362
- Provider Name
- AEDAN MCDONOUGH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 417 W 3RD AVE ALBANY, GA 31701
- Location Phone
- (229) 312-3912
- Mailing Address
- 417 W 3RD AVE ALBANY, GA 31701
- Mailing Phone
- (229) 312-3912
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-01-2017
- Last Update Date
- 06-16-2023
- Code Navigator
A primary care provider (PCP) like Aedan Mcdonough sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Aedan Mcdonough is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Aedan Mcdonough is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1658731534
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230725000035
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Pacemaker insertion or repair
Pacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.
This service was performed for 1-10 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Aedan Mcdonough is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
PHOEBE PUTNEY MEMORIAL HOSPITAL | 417 THIRD AVENUE ALBANY, GA 31703 | (229) 312-4068 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 8 | 5 | 1 | 6 | 2 | 3 | 6 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 2 | 6 | 4 | 3 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 6 + 5 + 2 + 6 + 4 + 3 + 1 + 2 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1285162362 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1194710830 | DR. ALFRED LEE WOODARD MD Individual | Emergency Medicine | 417 W 3RD AVE ALBANY, GA 31701 (229) 317-2207 |
1356336986 | SOUTHWESTERN EMERGENCY PHYSICIANS PC Organization | Emergency Medicine | 417 W 3RD AVE ALBANY, GA 31701 (229) 312-4155 |
1023003654 | DR. ANDREW GEORGE MISULIA MD Individual | Emergency Medicine | 417 W 3RD AVE ALBANY, GA 31701 (229) 317-2207 |
1194710723 | DR. GOPALA KRISHNA DEREBAIL MD Individual | Emergency Medicine | 417 W 3RD AVE ALBANY, GA 31701 (229) 317-2207 |
1336134964 | DR. SUCHETA GUPTA GARG MD Individual | Emergency Medicine | 417 W 3RD AVE ALBANY, GA 31701 (229) 317-2207 |
1174519722 | DR. ELMERA V DEJARME MD Individual | Emergency Medicine | 417 W 3RD AVE ALBANY, GA 31701 (229) 317-2207 |
1891781282 | DR. JAMES ELVIN OWEN MD Individual | Emergency Medicine | 417 W 3RD AVE ALBANY, GA 31701 (229) 317-2207 |
1295721975 | DR. ADDISON X AGBEMADZO MD Individual | Emergency Medicine | 417 W 3RD AVE ALBANY, GA 31701 (229) 317-2207 |
1497743140 | DR. MELODY CLAY SHEFFIELD PHARM.D. Individual | Pharmacist | 417 W 3RD AVE ALBANY, GA 31701 (229) 312-0110 |
1043293715 | SURESH K LAKHANPAL MD Individual | Radiology (Vascular & Interventional Radiology) | 417 W 3RD AVE ALBANY, GA 31701 (706) 653-1088 |
1861475535 | HALVOR PARRIS JR. MD Individual | Radiology (Vascular & Interventional Radiology) | 417 W 3RD AVE ALBANY, GA 31701 (706) 653-1088 |
1073596789 | EDWIN J FORTENBERY MD Individual | Radiology (Diagnostic Radiology) | 417 W 3RD AVE ALBANY, GA 31701 (706) 653-1088 |
1598748204 | CLIFFORD E CHURCH MD Individual | Radiology (Diagnostic Radiology) | 417 W 3RD AVE ALBANY, GA 31701 (706) 653-1088 |
1033193529 | DR. ALLISON LEA HAYS MD Individual | Radiology (Vascular & Interventional Radiology) | 417 W 3RD AVE ALBANY, GA 31701 (706) 653-1088 |
1962486415 | LORENZO CARSON JD Individual | Radiology (Vascular & Interventional Radiology) | 417 W 3RD AVE ALBANY, GA 31701 (706) 653-1088 |
1518941079 | KAREN E LOVETT MD Individual | Radiology (Vascular & Interventional Radiology) | 417 W 3RD AVE ALBANY, GA 31701 (706) 653-1088 |
1790769263 | SAMUEL L STRICKLAND MD Individual | Radiology (Diagnostic Radiology) | 417 W 3RD AVE ALBANY, GA 31701 (706) 653-1088 |
1942272133 | GEORGIANA B MIKSIS MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 417 W 3RD AVE ALBANY, GA 31701 (229) 312-5133 |
1528030434 | RICHARD R HEATH JR. MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 417 W 3RD AVE ALBANY, GA 31701 (229) 312-5133 |
1841248721 | DR. MELROSE DENISE ALLEN-NGALULA MD Individual | Emergency Medicine | 417 W 3RD AVE ALBANY, GA 31701 (706) 354-5770 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285162362, enumerated in the NPI registry as an "individual" on June 01, 2017
The provider is located at 417 W 3rd Ave Albany, Ga 31701 and the phone number is (229) 312-3912
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
The provider has more than 9 years of experience.
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Pacemaker insertion or repair.
The practitioner is affiliated to the following hospital(s): PHOEBE PUTNEY MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 01, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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